| NPI | 1346817384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW DAVID PARKER Chief Executive Officer 480-305-3357 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2021-06-08 |