| NPI | 1447712120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT RICHARD PAYNE Owner/Clinical Director 480-209-1977 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2019-06-11 |