| NPI | 1720185903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH VARELA Chief Executive Officer 520-466-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH-889) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-01-03 |