| 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 |