| NPI | 1457802274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY BURNS CEO 520-401-9529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AZ OTC7857) |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |