| NPI | 1154785475 |
|---|---|
| Doing Business As | BLVD |
| Entity Type | Organization |
| Authorized Contact | JASON MONROE COO 602-550-2211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2017-07-28 |