| NPI | 1093439259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA B HULCHER CEO 480-599-6477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2024-12-11 |