| NPI | 1982595500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PREM MAGAR Reporting Manager 520-301-1936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2025-07-11 |
| Last Update Date | 2025-07-11 |