| NPI | 1063910081 |
|---|---|
| Doing Business As | AES |
| Entity Type | Organization |
| Authorized Contact | MICHEL DANIEL ROTH CEO 480-809-6230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AZ OTC8517) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |