| NPI | 1154792935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY PREMPEH Chief Operating Officer 602-332-6699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH-4680) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |