| NPI | 1023471646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN T ISENBERG CEO 928-710-7021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2017-12-27 |