| NPI | 1154940864 |
|---|---|
| Doing Business As | NOVA108 OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | JEFF PRESUTTI Owner/CEO 480-332-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-04-13 |
| Last Update Date | 2020-04-13 |