NPI | 1235878679 |
---|---|
Doing Business As | TUCSON RECOVERY VILLA MARIA |
Entity Type | Organization |
Authorized Contact | SOON BURNAM Treasurer 949-540-1249 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-06-02 |
Last Update Date | 2022-06-02 |