NPI | 1538634829 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC MARINELLI Account Manager 928-642-3030 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-10-12 |
Last Update Date | 2022-03-14 |