| NPI | 1881040343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIELLE KUZDAL Office Manager 520-358-8571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ D09379853) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |