| NPI | 1124195284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM T MCCREERY Executive Director 520-625-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: AZ AL0553D) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-08-02 |