| NPI | 1265849939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS J LEWIS President/CEO 602-249-6675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2014-07-15 |