| NPI | 1689913527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY LESTER Director 520-546-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ OTC 6713) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2015-04-16 |