| NPI | 1922166107 |
|---|---|
| Doing Business As | OUR PLACE CLUBHOUSE |
| Entity Type | Organization |
| Authorized Contact | JEFF GROBE Executive Director 520-886-5553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2021-01-08 |