NPI | 1659108082 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM HAYDEN Owner 602-920-6633 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2024-09-18 |
Last Update Date | 2024-09-18 |