| NPI | 1821324948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA B CARZOLI CEO 520-682-4111 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC4723) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2024-05-06 |