| NPI | 1588879159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSA M RIVERA Business Manager 520-879-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |