NPI | 1124494240 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA M DWORNICKI Quality/Compliance Manager 520-221-2850 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2015-08-12 |
Last Update Date | 2021-03-01 |