| NPI | 1124596911 |
|---|---|
| Doing Business As | ETANO CENTER |
| Entity Type | Organization |
| Authorized Contact | LAWRENCE NICK ONATE Clinical Administrator 520-325-3323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |