| NPI | 1124603295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARCUS ABERNATHY Executive Director 480-749-4441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |