NPI | 1073955712 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL CORRAL CEO 520-829-7410 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D2063481) |
Enumeration Date | 2013-07-23 |
Last Update Date | 2013-11-01 |