| NPI | 1366823577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA L KOLODNY CEO 520-370-9032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSLG7160) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |