| NPI | 1306280797 |
|---|---|
| Doing Business As | WILMOT FAMILY HEALTH CENTER BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | CLARENCE G VATNE CEO 520-682-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH-4182) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2013-04-29 |