| NPI | 1235488164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JOHN GALLUS CEO 928-227-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH3852) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |