| NPI | 1912748740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAELENA DONA CONSUELO JAUREGUI President 520-730-6159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-06-05 |
| Last Update Date | 2024-06-05 |