Phoenix Allies For Community Health
Clinic/Center, Migrant Health in Phoenix, AZ. Organization (NPI-2).
NPI number1669974853
StatusActive
Last updated in NPPESMar 2, 2018
Details
- NPI
- 1669974853
- Entity type
- Organization (NPI-2)
- Legal business name
- Phoenix Allies For Community Health
- Organization subpart
- No
- Enumeration date
- Mar 2, 2018
- Last updated
- Mar 2, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1000X | Clinic/Center, Migrant Health | OTC7852 | AZ | Yes |
Practice location
2902 W Clarendon AvePhoenix, AZ 85017-4609
Phone 623-455-6470
Mailing address
2902 W Clarendon AvePhoenix, AZ 85017-4609
Authorized official
Jason Anthony Odhner
President
6027621975
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