| NPI | 1235263849 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID C GOODEN Owner President 520-733-2524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ 0808) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2012-12-06 |