| NPI | 1558627786 |
|---|---|
| Doing Business As | CENTRAL CITY ADDICTION RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM VP/COO 480-831-7566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 03D2036543) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-04-02 |