| NPI | 1932777489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY JEAN JOHNSON CEO 520-309-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |