| NPI | 1023795655 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRSTEN MCGUIRE Contact 928-864-8190 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2024-07-03 |