| NPI | 1811465966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODOLFO JIMENEZ Executive Director 520-407-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2020-01-31 |