| NPI | 1629561071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M SILVER Member 520-398-7272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ LMFT-10221) |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-11 |