NPI | 1144692757 |
---|---|
Doing Business As | HOLLYWOOD DETOX CENTER |
Entity Type | Organization |
Authorized Contact | JASON MONROE Chief Operating Officer 602-550-2211 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2015-10-22 |
Last Update Date | 2017-07-28 |