| NPI | 1013124262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY PANICO Executive Director 520-670-9040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ A6) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-07-21 |