| NPI | 1508356593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GURINDER SINGH Clinical Director 602-938-2301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: AZ OTC6072) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2020-04-10 |