| NPI | 1033578950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOBBI LOPEZ Program Coordinator 520-721-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ BH4795) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |