| NPI | 1073751004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL HOLLAND Co Executive Director 520-887-2643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3085) |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |