| NPI | 1730681685 | 
|---|---|
| Doing Business As | CASA DE LOS NINOS | 
| Entity Type | Organization | 
| Authorized Contact | JESSICA VELARDE Administrative Analyst 520-471-2206  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC-8835)  | 
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ Pending)  | 
| Enumeration Date | 2018-03-07 | 
| Last Update Date | 2021-01-14 |