NPI | 1952948804 |
---|---|
Doing Business As | CIRCLE THE CITY MOBILE CLINIC II |
Entity Type | Organization |
Authorized Contact | WILLIAM ELLERT Cmo 602-776-0776 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
Enumeration Date | 2019-12-10 |
Last Update Date | 2024-10-10 |