| NPI | 1881073443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS ROBINETTE Chief Executive Officer 520-836-3446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC0187) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2018-09-07 |