| NPI | 1740529460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA MALOFEEVA Clinical Director 520-873-8562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ 4333) |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2021-03-30 |