| NPI | 1215311378 |
|---|---|
| Doing Business As | EMPACT-SPC |
| Entity Type | Organization |
| Authorized Contact | BRITTANY RASMUSSEN Credentialing Coordinator 480-868-9479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2023-10-03 |