| NPI | 1396544938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUINN MCCULLOUGH CEO 480-418-1754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |