| NPI | 1851531933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ROBERT SULLIVAN President 520-417-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: AZ 22176) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-25 |