NPI | 1821228826 |
---|---|
Entity Type | Organization |
Authorized Contact | ANNE NEWLAND CEO 928-522-9400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2009-07-24 |
Last Update Date | 2021-06-30 |