NPI | 1457645038 |
---|---|
Doing Business As | CLARVIDA |
Entity Type | Organization |
Authorized Contact | NANCY POE Contracts Adminstrator 520-570-1460 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC6975) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2024-06-11 |