NPI | 1124717517 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN KETRON Founder And CEO 480-299-5780 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2023-05-02 |
Last Update Date | 2025-09-23 |