| NPI | 1790189991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY ARMENDARIZ Executive Director 480-882-6073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC5160) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-22 |