NPI | 1225451453 |
---|---|
Other Name | ETHAN ORR |
Entity Type | Organization |
Authorized Contact | JEREMIAH LOPEZ Program Director 520-275-5927 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2014-01-23 |
Last Update Date | 2014-01-23 |