| NPI | 1831421213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMINIA FRIAS Executive Director 520-882-6120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3444) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |