| NPI | 1528293909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTINA PELAYO DE OLIVARES President/Owner 520-742-9166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 31109) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2009-05-28 |