NPI | 1205547288 |
---|---|
Doing Business As | SIERRA VISTA BEHAVIORAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DANIEL ABRAM DRISCOLL Authorized Official 520-459-3011 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-12-09 |
Last Update Date | 2022-12-09 |