| NPI | 1275841736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY P BEIERMEISTER Clinical Director 520-808-1403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ 3673) |
| Additional Taxonomies | 251B00000X Case Management (Licence: AZ 3673) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2010-09-17 |