| NPI | 1457062119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY GAITHER Vice President Revenue Cycle Manage 602-248-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center Methadone |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-13 |