| 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 |