| NPI | 1770164634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE T NORRIS Medical Director 520-780-8413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |