| NPI | 1316607658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA LYNN JANSON CEO 602-300-0797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2024-09-17 |