| NPI | 1730466962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN KOLNACKI Dir. Of Healthcare Services 520-648-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: AZ AL0553D) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2023-03-07 |