NPI | 1871203893 |
---|---|
Doing Business As | ARIZONA MEDICAL SERVICES - PHOENIX |
Entity Type | Organization |
Authorized Contact | ZACK RAGSDALE Director 512-454-5911 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2022-11-30 |
Last Update Date | 2024-09-23 |