| 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 |