Provider First Line Business Practice Location Address:
220 SOUTH 12TH AVENUE
Provider Second Line Business Practice Location Address:
MARICOPA COUNTY HEALTH CARE FOR THE HOMELESS
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85007-3101
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-372-2117
Provider Business Practice Location Address Fax Number:
602-372-2120
Provider Enumeration Date:
05/22/2006