| NPI | 1841901451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD MOSHER Co Collaborator 520-307-6495 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2023-01-24 |