NPI | 1174162143 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTINA HONIOTES Chief Operating Officer 480-999-0851 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-12-23 |
Last Update Date | 2023-07-12 |