| NPI | 1184476962 |
|---|---|
| Doing Business As | PARTNERS IN RECOVERY METRO CENTER INTEGRATED CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | LATRICE SHANNON HICKMAN Chief Risk And Compliance Officer 480-431-9008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-04-03 |