| NPI | 1073615399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOSEPH BUTLER Program Director 520-803-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AZ 10380) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2022-07-21 |