| NPI | 1295436830 |
|---|---|
| Former Legal Business Name | ARIZONA BEHAVIORAL HEALTH CLINIC LLC |
| Entity Type | Organization |
| Authorized Contact | LUCIUS KING Director 480-416-9691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-03-10 |
| Last Update Date | 2023-03-10 |