NPI | 1902092166 |
---|---|
Other Name | CHILDREN & ADOLESCENT SERVICES (CAS) |
Entity Type | Organization |
Authorized Contact | W MARK CLARK CEO 520-327-4505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ BH-2093) |
Enumeration Date | 2007-09-21 |
Last Update Date | 2008-02-15 |