| NPI | 1003102120 |
|---|---|
| Doing Business As | CASA GRANDE INPATIENT |
| Entity Type | Organization |
| Authorized Contact | JOHN F HOGEBOOM CEO 480-831-7566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: AZ IFBH9071) | |
| 291U00000X Clinical Medical Laboratory (Licence: AZ IFBH9071) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ IFBH9071) | |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2023-03-02 |