NPI | 1154826527 |
---|---|
Doing Business As | TUCSON RECOVERY VILLA MARIA |
Entity Type | Organization |
Authorized Contact | TERRY MCNELLIS Owner 612-991-9062 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH5309) |
Enumeration Date | 2018-03-28 |
Last Update Date | 2020-09-28 |