| NPI | 1336522077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SCHRAMM Therapist 520-628-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ 11888) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |