| NPI | 1013249564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ANDREW KOLARICH Manager 520-795-3334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |