| NPI | 1124596911 |
|---|---|
| Doing Business As | ETANO CENTER |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE ONATE Clinical Administrator 520-325-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2025-08-13 |