| NPI | 1093421943 |
|---|---|
| Doing Business As | THE DIFFERENTS |
| Entity Type | Organization |
| Authorized Contact | HEATHER MARIE SMYLY Director 928-308-4169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-01-30 |