| NPI | 1649710328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM ABBOTT Director 623-222-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center Community Health (Licence: AZ TRN: 17-002) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2021-03-15 |