NPI | 1194230672 |
---|---|
Other Name | CSP ST. MARY'S |
Entity Type | Organization |
Authorized Contact | LINDA GUERRERO Delegated Official 520-879-6039 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC8558) |
Enumeration Date | 2017-12-06 |
Last Update Date | 2025-05-14 |