| NPI | 1386008076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ODETOYE Owner 623-925-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH4881) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |