| NPI | 1437525797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SIEFFERT Manger 480-331-4540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 207LA0401X Anesthesiology, Addiction Medicine | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2017-05-02 |