| NPI | 1467201608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY NORTH Managing Partner 480-399-8683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |