| NPI | 1366035594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEFFEN LIBERMAN Executive Director 480-388-1495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-02-18 |
| Last Update Date | 2021-02-18 |