| NPI | 1215788948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YIMGNA FRANCIS DJAPA NGASSAM Assistant Manager 480-284-9638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-03-29 |
| Last Update Date | 2024-03-29 |