| NPI | 1568693075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA D TREEFUL CEO 520-623-9833 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ BH3359) |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2009-07-31 |