| NPI | 1780394858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAYIL RABADI Chief Adminitrative Officer 602-721-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2024-05-14 |