| NPI | 1205842705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA S ARENDT Director Of Finance 520-623-9833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ BH-2183) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2012-11-14 |