| NPI | 1497167480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYL FERRELL Executive Director 520-836-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ 13-1381) |
| Enumeration Date | 2014-05-24 |
| Last Update Date | 2014-05-24 |