| NPI | 1912661323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SWAGERT CEO 602-323-3470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-10-22 |