| NPI | 1700697976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TLAHJONTE HOPSON Board Chairman 602-799-2757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 385H00000X Respite Care | |
| Enumeration Date | 2025-01-16 |
| Last Update Date | 2025-01-16 |