| NPI | 1144897372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY GAITHER Revenue Cycle VP 602-248-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2025-01-14 |