NPI | 1205533247 |
---|---|
Entity Type | Organization |
Authorized Contact | AUGUSTIN NTEZEYOMBI CEO 480-845-3154 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 261QM0801X |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2023-02-09 |
Last Update Date | 2023-02-16 |