| NPI | 1366828725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ANN LEWUSZ CEO/Co Owner 520-904-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ OTC6315) |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |