| NPI | 1164044897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JANE JONES Clinical Director 520-261-9556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-09-15 |