| NPI | 1619279155 |
|---|---|
| Former Legal Business Name | ARIZONA COUNSELING & TREATMENT SERVICES |
| Former Legal Business Name | ASSURANCE HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: AZ OTC8052) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2020-04-20 |