| NPI | 1366054850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL MITCHELL Owner/Administrator 480-319-5039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2022-03-06 |