| NPI | 1609328194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN HOLIDAY Director 520-568-1090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2016-10-31 |
| Last Update Date | 2016-10-31 |