| NPI | 1083594642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARISE PALMROTH Ma 480-476-8900 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2025-09-04 |