| NPI | 1073755013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN THOMAS CUMMINGS Director 520-796-3802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |