NPI | 1023795655 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRSTEN MCGUIRE Contact 928-864-8190 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2023-07-05 |
Last Update Date | 2024-03-14 |