| NPI | 1740387018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R SWAGERT President /CEO 602-323-3344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC 3035) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-03-12 |