| NPI | 1861279465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RODRIGUEZ Dir. Of Revenue Cycle Mgmt. 520-876-1848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |