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 |