| NPI | 1245437458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BREEANN M HOERNING Ar And Billing Manager 520-747-6694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2020-08-22 |