| NPI | 1073911293 |
|---|---|
| Doing Business As | LA FRONTERA EMPACT-SPC |
| Entity Type | Organization |
| Authorized Contact | LAURA LARSON-HUFFAKER Executive Director 480-784-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LPC14160) |
| Enumeration Date | 2014-12-22 |
| Last Update Date | 2022-03-24 |