| NPI | 1588322655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARNIECIA TUCKER CEO 520-261-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 106S00000X Behavior Technician | |
| 251B00000X Case Management | |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2024-03-08 |