| NPI | 1801303508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WILLIAMSON Cmo 602-253-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2021-06-01 |