| NPI | 1659561637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELLA CORDOVA Practice Administrator 623-326-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: AZ 30033) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2008-07-29 |