| NPI | 1124454236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH CHANCE CEO/President 928-227-2448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH-3965) |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2013-09-20 |