| NPI | 1366130536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC MAUGHAN Administrator 602-292-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |