| NPI | 1992171268 |
|---|---|
| Doing Business As | DEVEREUX ARIZONA - PIMA OUTPATIENT #2 |
| Entity Type | Organization |
| Authorized Contact | LANE MARTIN-BARKER Executive Director 602-283-1573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2016-01-29 |