| NPI | 1750807897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASHA PLUM GRANT Owner 520-991-5305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2018-05-23 |