| NPI | 1245089093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA MARIE HAMMOND Owner/Provider 520-329-2341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2024-06-07 |