| NPI | 1659035137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM FRANCIS ROGERS Owner 928-830-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2024-05-31 |