| NPI | 1215527031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANAE ELIGINO O'CONNOR Managing Employee/Member 520-414-1669 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2021-02-17 |