| NPI | 1003301326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLE FICCHI Counselor 520-561-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ CSLG8953) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2019-03-15 |