| NPI | 1053249284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN OF FOLLMER Director 602-769-2142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-05-09 |
| Last Update Date | 2026-05-09 |