NPI | 1942518550 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY ARMENDARIZ Chief Executive Officer 602-786-0003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
103T00000X Psychologist | |
1223G0001X Dentist, General Practice | |
207Q00000X Family Medicine | |
Enumeration Date | 2010-09-16 |
Last Update Date | 2023-02-03 |