| NPI | 1396090403 |
|---|---|
| Doing Business As | BURNING TREE LODGE |
| Entity Type | Organization |
| Authorized Contact | MATTHEW LUCHINI Accounts Manager 928-533-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 2385-2385A) |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2012-07-16 |