| NPI | 1760933154 |
|---|---|
| Doing Business As | HOLBROOK OUTPATIENT SERVICES CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM President/CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 251B00000X Case Management (Licence: AZ 7809) |
| 251S00000X | |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2023-04-10 |