| NPI | 1477247211 |
|---|---|
| Doing Business As | SCOTTSDALE VIRTUAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAKE CRAWFORD Owner 480-766-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-12 |