| NPI | 1700377983 |
|---|---|
| Doing Business As | STONERIDGE CENTERS FOR BRAIN AND ADDICTION TREATMENT |
| Entity Type | Organization |
| Authorized Contact | BARBARA THOMPSON Chief Information Officer 928-583-7799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: AZ OTC8169) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |