| NPI | 1083846661 |
|---|---|
| Other Name | HARRISON994 |
| Entity Type | Organization |
| Authorized Contact | ROSE MARY LOPEZ President And CEO 520-721-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH3355) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2020-10-09 |