| NPI | 1477006542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY PADDOCK District Manager 520-297-8397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: AZ S020656) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |