NPI | 1508506551 |
---|---|
Entity Type | Organization |
Authorized Contact | TRACY LIVINGSTON VP Of Revenue Cycle Management 602-256-3020 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2022-03-29 |
Last Update Date | 2024-02-19 |