| NPI | 1578294674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RODRIGUEZ Director Of Revenue Cycle Managemen 520-876-1848 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2024-06-27 |