| NPI | 1518886910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOFFAT BOEME MOLOSIWA Owner/Manager 602-661-7659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2026-07-11 |
| Last Update Date | 2026-07-11 |