| NPI | 1275065310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE LEON CEO 520-622-8357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ LISAC 1463) |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |