| NPI | 1083343875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN LAWLER CFO 602-803-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2022-06-07 |