| NPI | 1922105204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN R SWAGERT CEO 602-323-3344 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-08-27 |