| NPI | 1659432763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANA BIOCCA Executive Director 520-884-4229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: AZ BH-700) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2020-08-22 |