| NPI | 1235450198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ANDERSON CEO 480-315-1140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH-4085) |
| Enumeration Date | 2010-06-15 |
| Last Update Date | 2018-04-10 |