NPI | 1629499397 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN P MELK CEO 520-364-6852 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2013-12-26 |
Last Update Date | 2021-09-01 |