| NPI | 1861622748 |
|---|---|
| Doing Business As | UB FOUR CORNERS |
| Entity Type | Organization |
| Authorized Contact | RAYCE HUNT CIO 800-747-4807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2009-07-25 |