| NPI | 1700598489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE MARIE NTIRANYIBAGIRA Partner 520-445-5832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2022-12-14 |