| NPI | 1053054510 |
|---|---|
| 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 | 2022-04-13 |
| Last Update Date | 2024-02-19 |