| NPI | 1306443197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEPHANNIE JOUNG Administrator/Bht 623-312-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 253Z00000X In Home Supportive Care | |
| 273Y00000X Rehabilitation Unit | |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-03-23 |