| NPI | 1447077961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AN NGUYEN Clinical Psychologist 602-332-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |