| NPI | 1659913762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL R. VALBUENA Member 480-474-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2020-11-05 |