NPI | 1972205987 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK REIGELSPERGER Owner 602-622-7731 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QP2300X Clinic/Center, Primary Care | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2023-03-21 |
Last Update Date | 2023-10-30 |