| NPI | 1669549994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONIO ESTRADA Co Executive Director 520-836-1029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ BH2298) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2023-06-01 |