NPI | 1033576566 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL LEE CASE President / CEO 480-612-4297 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2016-01-28 |
Last Update Date | 2016-01-28 |