| NPI | 1124016019 |
|---|---|
| Other Name | SEABHS-DOUGLAS OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | ESTELLA HERNANDEZ Contracts & Credentialing Admin 520-838-5513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AZ BH-1896) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2022-06-10 |