| NPI | 1124101779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA WHITETHORNE Service Center Director 520-295-2503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |