| NPI | 1477921310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN BYRNE Member 480-881-7703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AZ OTC7565) |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2016-11-30 |