| NPI | 1023553138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL MILLS Claims Supervisor 602-263-5242 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2023-12-27 |