| NPI | 1346606761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE EASTER Administrator 520-694-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: AZ LPC-2371) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |