| NPI | 1306294046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ANN STOE-BEDOYA CEO 520-631-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSLG6160) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |