| NPI | 1992541015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANZOLA ZAMIA ELDER Owner 480-299-1244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |