| NPI | 1437346517 |
|---|---|
| Doing Business As | DBA: MAVERICK HOUSE |
| Entity Type | Organization |
| Authorized Contact | EDWARD WILLIAM PINNOW Acting Director 623-937-9203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH 406) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2014-04-07 |