| NPI | 1023550910 |
|---|---|
| Other Name | CPIH AACT |
| Entity Type | Organization |
| Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: AZ OTC8061) |
| 101YP2500X Counselor Professional (Licence: AZ OTC8061) | |
| 103TC0700X Psychologist Clinical (Licence: AZ OTC8061) | |
| 1041C0700X Social Worker Clinical (Licence: AZ OTC8061) | |
| 207Q00000X Family Medicine (Licence: AZ OTC8061) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: AZ OTC8061) | |
| 251S00000X Community/Behavioral Health (Licence: AZ OTC8061) | |
| 261Q00000X Clinic/Center | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ OTC8061) | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2021-02-11 |