| NPI | 1770991291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTAL POWELL Revenue Cycle Director 623-583-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2023-04-28 |