| NPI | 1235849993 |
|---|---|
| Doing Business As | CENTRAL CITY ADDICTION RECOVERY CENTER - OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM President/CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-12-02 |
| Last Update Date | 2023-04-14 |