| NPI | 1376107292 |
|---|---|
| Other Name | WEST OUTPATIENT |
| Entity Type | Organization |
| Authorized Contact | CHRIS RILEY Compliance Officer 602-263-5242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2023-12-27 |