| NPI | 1437418225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE JACOBSEN Program Director 520-626-7141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: AZ R73212) |
| Enumeration Date | 2012-05-14 |
| Last Update Date | 2013-06-10 |