| NPI | 1033801667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN BRYANT Owner 602-884-1831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |