| NPI | 1326349101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW EUGENE LENERTZ Clinical Director 520-798-3659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ BH3672) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2010-11-09 |