NPI | 1518365105 |
---|---|
Entity Type | Organization |
Authorized Contact | MATTHEW LUCHINI Account Manager 928-533-4220 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2014-12-12 |
Last Update Date | 2014-12-12 |