| NPI | 1093876542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS HERNANDEZ CEO 520-795-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ Bh213) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AZ BH1600) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-12-06 |