| NPI | 1528424108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH SALCEDO President 480-494-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: AZ OTC7537) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: AZ OTC7537) |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: AZ OTC7537) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-02-02 |