NPI | 1619982196 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN SHEETS President / CEO 602-351-6986 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: AZ BH-153) |
Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2006-07-31 |
Last Update Date | 2023-08-31 |