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 |