NPI | 1508160946 |
---|---|
Doing Business As | CORAZON BEHAVIORAL HEALTH SERVICE |
Entity Type | Organization |
Authorized Contact | TERESA MENCHACA President/CEO 520-836-4278 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: AZ BH3746) |
Enumeration Date | 2010-12-28 |
Last Update Date | 2010-12-28 |