| NPI | 1114461779 |
|---|---|
| Doing Business As | CLARVIDA 2 |
| Entity Type | Organization |
| Authorized Contact | NANCY POE Contract Administrator 520-570-1460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ OTC6452) |
| Enumeration Date | 2016-12-15 |
| Last Update Date | 2025-09-30 |