| NPI | 1245501188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PHILLIP REED Manager 520-515-9610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ 2845) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2021-04-30 |