| NPI | 1275212870 |
|---|---|
| Doing Business As | SRC DESERT COVE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH LANDIN CEO 602-612-3816 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |