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 |