| NPI | 1902471303 |
|---|---|
| Doing Business As | CANYONLANDS - MESQUITE |
| Entity Type | Organization |
| Authorized Contact | MARI A REED Director Of Operations 928-645-9675 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |