| NPI | 1366576944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HECTOR J FERNANDEZ BARILLAS Owner President 520-325-6633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ 1320) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2024-02-27 |