| NPI | 1477597193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE M LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: AZ BH-2847) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2023-11-21 |