NPI | 1194386557 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLIN BLUM Executive Director 520-256-4951 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-06-26 |
Last Update Date | 2019-06-26 |