| NPI | 1083784698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNETTE LADD Director 520-731-2055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ LCSW-10793) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |