| NPI | 1295857084 |
|---|---|
| Doing Business As | CENTRAL CITY ADDICTION RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN F HOGEBOOM President/CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251J00000X Nursing Care (Licence: AZ IFBH6374) |
| 261QP2300X Clinic/Center Primary Care (Licence: AZ IFBH6374) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: AZ IFBH6374) | |
| 291U00000X Clinical Medical Laboratory (Licence: AZ IFBH6374) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ IFBH6374) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2023-01-17 |