| NPI | 1255185005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN PAUL MILLS Claims Supervisor 602-263-5242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2024-04-16 |
| Last Update Date | 2024-04-18 |