NPI | 1346706439 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLES D KESTER President 480-398-5780 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-02-14 |
Last Update Date | 2019-06-11 |