| NPI | 1306928932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS K MCKELVEY Chief Executive Officer 602-599-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH165) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2016-11-03 |