| NPI | 1861117772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER ESVER Owner 520-705-2760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-10-04 |