NPI | 1033870266 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY LIVINGSTON VP Of Revenue Cycle Management 602-256-3020 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-01-10 |
Last Update Date | 2024-02-19 |