| NPI | 1952062127 |
|---|---|
| Doing Business As | SMC - ARIZONA |
| Entity Type | Organization |
| Authorized Contact | MICHELLE SIWEK Manager 480-414-2596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-11-23 |