| NPI | 1104455534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE WARREN Director Of Insurance Billing 480-476-8912 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |