| NPI | 1033979885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A DANIELS Owner 480-707-1423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| 251K00000X Public Health or Welfare | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-03-20 |
| Last Update Date | 2024-03-20 |