| NPI | 1730547134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODNEY COOK CEO 520-792-3293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ OTC7477) |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: AZ OTC7477) | |
| 251B00000X Case Management (Licence: AZ OTC7477) | |
| 251S00000X Community/Behavioral Health (Licence: AZ OTC7477) | |
| 251V00000X Voluntary or Charitable | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2022-09-28 |