| NPI | 1932798162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELMO GREER Owner 520-471-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-01-12 |