| NPI | 1952672271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIELA M SOTO Director, Administrative Services 520-621-4198 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: AZ OTC3502) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2025-01-10 |