| NPI | 1790156057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON MONROE COO 602-550-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2017-07-28 |