| NPI | 1205986171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A BARRASSO Office Administrator 520-722-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-1670) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |