NPI | 1376107292 |
---|---|
Other Name | WEST OUTPATIENT |
Entity Type | Organization |
Authorized Contact | CHRIS RILEY Compliance Officer 602-263-5242 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-04-25 |
Last Update Date | 2025-01-29 |