| NPI | 1356843544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCAS OLATUNDE Owner/Administrator 623-932-5986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH5383) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |