| NPI | 1487180998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN C WELCH CEO 520-743-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH4473) |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |