| NPI | 1124662788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX SPRITZER Provider 623-238-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-11-06 |
| Last Update Date | 2019-11-06 |