| NPI | 1427421098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY PROFFITT Billing Director 480-219-7178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2022-10-12 |