| NPI | 1699423616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LIVINGSTON VP Of Revenue Cycle 602-256-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-03-17 |
| Last Update Date | 2024-02-19 |