| NPI | 1891666103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE CAZAUX COO 623-824-5441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-09-17 |
| Last Update Date | 2025-09-17 |