| NPI | 1467526954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE FELDMAN Mentor Program Director 520-621-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSA05ADHS0113) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |