| NPI | 1891172052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIA (MIMI) CHARMAINE HARRIS CEO 480-207-7560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: AZ OTC6493) |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |