| NPI | 1669878567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SWAGERT CEO 602-323-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC0599) |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2018-03-17 |