| NPI | 1023190618 |
|---|---|
| Other Name | SPRINGBROOK HABILITATION SERVICES |
| Entity Type | Organization |
| Authorized Contact | GEORGE W GREEN Clinical Director 602-424-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: AZ BH-2868) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-2372) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3021) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2009-12-31 |