| NPI | 1386350023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH RODRIGUEZ Director Revenue Cycle Management 520-876-1848 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 261QC1500X Clinic/Center Community Health | |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |