| NPI | 1689436412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RODRIGUEZ Director Of Revenue Cycle Mgmt 520-876-1848 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-02-27 |