| NPI | 1477333482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ED HUDSON CFO 520-322-6274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2023-12-12 |