| NPI | 1821755141 |
|---|---|
| Doing Business As | CRC-INPATIENT UNIT |
| Entity Type | Organization |
| Authorized Contact | JANICE TALAS-DENNY Provider Network Management Assoc 623-273-6154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2023-03-03 |