| NPI | 1841634201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT STEPHEN Health Service Administrator 520-868-8439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal (Licence: VA 0024169459) |
| Enumeration Date | 2013-04-28 |
| Last Update Date | 2013-04-28 |