| NPI | 1669836649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NORMAN E MUDD Chief Executive Officer 480-983-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2017-01-03 |