NPI | 1679195879 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY BAKER Member 520-820-3028 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2020-05-11 |
Last Update Date | 2024-06-27 |