| NPI | 1275845646 | 
|---|---|
| Doing Business As | CLARVIDA | 
| Entity Type | Organization | 
| Authorized Contact | NANCY POE Credentialing Manager 520-570-1460 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC6480) | 
| Enumeration Date | 2010-07-13 | 
| Last Update Date | 2025-09-11 |