| NPI | 1780548933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HABSA MUSTAF MOHAMMED Owner 602-559-6491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-12-11 |
| Last Update Date | 2025-12-11 |