| NPI | 1336249291 |
|---|---|
| Doing Business As | CLARVIDA |
| Entity Type | Organization |
| Authorized Contact | NANCY POE Contracts Adminstrator 520-570-1460 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC6491) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ BH-3602) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-06-03 |