| NPI | 1649966607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINCOLN ANTHONY HARRIS CEO 602-716-1821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |