NPI | 1336249291 |
---|---|
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 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 | 2025-09-11 |