NPI | 1457459091 |
---|---|
Former Legal Business Name | ASSURANCE HEALTH AND WELLNESS |
Former Legal Business Name | ARIZONA COUNSELING & TREATMENT SERVICES |
Entity Type | Organization |
Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261Q00000X Clinic/Center (Licence: AZ OTC8057) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-04-20 |