| NPI | 1710615182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON REYNOLDS Exec Admin Director 520-722-9631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-08-12 |
| Last Update Date | 2022-08-12 |