| NPI | 1568243103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA LEE Finance Director 520-582-4718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |