NPI | 1689864597 |
---|---|
Doing Business As | MARANA HEALTH CENTER BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | JOSHUA B CARZOLI CEO 520-682-4111 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: AZ OTC5709) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ OTC5709) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2024-05-06 |