| NPI | 1497360978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC NBIZI Owner 623-777-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 103TR0400X Psychologist, Rehabilitation | |
| 261QP2300X Clinic/Center, Primary Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2021-06-07 |