NPI | 1104282771 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN RICE SARGENT CEO 602-233-9401 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: AZ OTC6567) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-12 |