| NPI | 1174902100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CUNNINGHAM Owner 480-227-8251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-22 |