| NPI | 1023170933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHE JORDAN CEO 602-276-4288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH076) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2023-07-26 |