| NPI | 1609229574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA R CANCHOLA Contracts, Compliance Manager 520-628-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH-4798) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-07-15 |