NPI | 1255700100 |
---|---|
Doing Business As | WILMOT FAMILY HEALTH CENTER BH |
Entity Type | Organization |
Authorized Contact | JOSHUA B CARZOLI CEO 520-682-4111 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC5399) |
Enumeration Date | 2015-09-22 |
Last Update Date | 2024-05-06 |