| NPI | 1134710817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LEE CASE Managing Member 480-300-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-01-27 |
| Last Update Date | 2021-01-27 |