NPI | 1457764045 |
---|---|
Other Name | RESTART |
Entity Type | Organization |
Authorized Contact | CORINA OGAZ Associate Director, Credentialing 602-636-3085 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Enumeration Date | 2014-06-11 |
Last Update Date | 2022-06-21 |