| NPI | 1831487867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE POSKUS Program Coordinator 520-626-7747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: AZ R72828) |
| Additional Taxonomies | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: AZ R72828) |
| Enumeration Date | 2011-07-12 |
| Last Update Date | 2011-07-12 |