| NPI | 1225821564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE E MCINTOSH CEO 480-228-1053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-05-28 |
| Last Update Date | 2025-05-28 |