| NPI | 1467787663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERILYN GOLDSCHMID Program Director 520-874-4502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |