| NPI | 1962022806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FERNANDEZ Chief Operating Officer 480-262-1239 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2020-04-21 |