| NPI | 1740029156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSCHELLE R WILLIAMS Care Center Manager 480-340-2636 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 3336C0002X Pharmacy Clinic Pharmacy | |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |