| NPI | 1316689524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH BRYANT Owner 602-884-1831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2023-05-23 |