| NPI | 1588074496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO ESTRADA Co Executive Director 520-836-1029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6057) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2023-06-01 |