| NPI | 1003563115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNA KATHLEEN SKINNER CEO/Administrator 520-895-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2022-03-08 |