| NPI | 1235721564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ALAINE CONDOS-MILLS Chief Administrative Officer 520-271-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |