| NPI | 1588962344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON C CASEY COO 520-639-9006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-3764) |
| Enumeration Date | 2011-03-03 |
| Last Update Date | 2021-03-01 |