NPI | 1366217515 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIO ELIAS RIESGO Executive Director 520-392-0854 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2023-11-17 |
Last Update Date | 2023-11-17 |