| NPI | 1891512927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WARD CFO 520-387-5651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2025-10-02 |