| NPI | 1578002572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA HONIOTES Chief Operating Officer 480-999-0851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261Q00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2023-07-12 |