| NPI | 1861042012 |
|---|---|
| Other Name | INTERMOUNTAIN CENTERS |
| Entity Type | Organization |
| Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2020-04-29 |