| NPI | 1659827707 |
|---|---|
| Other Name | CASA GRANDE |
| Entity Type | Organization |
| Authorized Contact | ROSE LOPEZ CEO 520-721-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC7774) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-10-09 |