NPI | 1740859404 |
---|---|
Entity Type | Organization |
Authorized Contact | BILLIE HOLLIDAY Chief Operating Officer 480-474-5580 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2021-06-17 |
Last Update Date | 2021-06-17 |