| NPI | 1487984720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAITH VALENTINA SUASO Executive Director 520-531-1040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC6580) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ BH3142) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ BH3142) | |
| Enumeration Date | 2010-01-09 |
| Last Update Date | 2015-06-11 |