NPI | 1447002571 |
---|---|
Doing Business As | PARTNERS IN RECOVERY, LLC ACT GATEWAY IHH |
Entity Type | Organization |
Authorized Contact | LATRICE SHANNON HICKMAN Chief Risk And Compliance Officer 480-431-9008 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2024-04-02 |
Last Update Date | 2024-04-02 |