| NPI | 1548941081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH RYAN TROP-ZELL Quality And Compliance Director 928-642-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |