| NPI | 1275963613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW LUCHINI Account Manager 928-533-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2013-11-21 |