| NPI | 1760906440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA S ARENDT CFO 520-327-1529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 101YM0800X Counselor, Mental Health (Licence: AZ CSL8349) | |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2023-09-01 |