| NPI | 1699173245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN HOFFMAN TEPPER President & CEO 602-685-6000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ LAL000166) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC-5659) |
| 261QP2300X Clinic/Center, Primary Care (Licence: AZ OTC-5659) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2022-06-03 |