| NPI | 1700517265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX HALL Co Owner 480-416-4813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| Enumeration Date | 2022-06-23 |
| Last Update Date | 2022-06-23 |