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 |