NPI | 1043658115 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY WAMBAIRE Program Director 520-248-1919 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH4178) |
Enumeration Date | 2013-06-11 |
Last Update Date | 2013-06-11 |