| NPI | 1144898156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN GUSTIN Director 602-434-1289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2025-10-31 |