| NPI | 1215487384 |
|---|---|
| Doing Business As | DODGE DETOXIFICATION CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM VP/Chief Operating Officer 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: AZ IFBH7808) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: AZ IFBH7808) |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ IFBH7808) | |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2016-10-12 |