| NPI | 1417649997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JEFF MANDLY Manager 480-414-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2023-05-23 |
| Last Update Date | 2023-05-23 |