| NPI | 1639207269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MARIE KABBECH Nurse Practitioner 602-277-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ RN067021) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |