| NPI | 1306243084 |
|---|---|
| Doing Business As | UNHOOKED RECOVERY POWER ROAD |
| Entity Type | Organization |
| Authorized Contact | MARY G LEACH Owner 602-368-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH5397) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2018-04-12 |