| NPI | 1174236897 |
|---|---|
| Doing Business As | SRC 28TH |
| Entity Type | Organization |
| Authorized Contact | JOSEPH LANDIN CEO 480-309-9945 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |