| NPI | 1245074855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN TOVAR Owner Member 520-975-3136 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-06-20 |
| Last Update Date | 2024-06-20 |