| NPI | 1003581174 |
|---|---|
| Other Name | CMS KETTERING |
| Entity Type | Organization |
| Authorized Contact | CINDY GAITHER VP Of Revenue Cycle 602-248-8886 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM2800X Clinic/Center Methadone | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-08-11 |
| Last Update Date | 2024-02-09 |