USA Meddac, Rwbach
NPI #1881779353 in Fort Huachuca, Arizona
Provider Information
- NPI Number
- 1881779353
- Entity Type
- Organization
- Organization Name
- USA Meddac, Rwbach
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Oct 25, 2006
- Last Updated
- Jul 19, 2007
Practice Location
- Address
- 2240 WINROW AVE
- City
- Fort Huachuca
- State
- Arizona
- ZIP Code
- 85613
- Phone
- (520) 533-2071
Authorized Official
- Name
- MR. JOSEPH A BUBALA, LCSW, LISAC
- Title
- CLINICAL DIRECTOR, ASAP
- Phone
- (520) 533-2071
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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