| NPI | 1609448844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LYNN BERT Chief Operating Officer 520-304-3389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-07-16 |