| NPI | 1598959298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M GUERRERO Billing Collections Supervisor 520-879-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2021-10-05 |