| NPI | 1790902922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTA DRAKE Executive Director 520-323-0886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ CSA05CP0184) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2020-08-22 |