| NPI | 1669245007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA B CARZOLI CEO 520-682-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-03-04 |