| NPI | 1235745035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULONDA OLD COYOTE Director Of Operations 602-612-3816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2022-04-13 |