NPI | 1407363195 |
---|---|
Doing Business As | COTTONWOOD TUCSON OUTPATIENT |
Entity Type | Organization |
Authorized Contact | PAUL GILBERT Chief Legal Officer 615-716-4924 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2018-01-04 |
Last Update Date | 2023-09-29 |