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 |