| NPI | 1063999761 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS JAMES LOSOLE President, Outpatient Services 480-550-2163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2019-04-30 |