| NPI | 1659993574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA URBINA FELIX Owner 520-849-6486 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0801X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |