NPI | 1841752581 |
---|---|
Doing Business As | CROSSROADS RED MOUNTAIN - IOP |
Entity Type | Organization |
Authorized Contact | CHRIS RILEY Compliance Officer 602-263-5242 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2019-04-02 |
Last Update Date | 2023-12-27 |