| NPI | 1457023723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONARD IWUALA CEO 623-206-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2021-10-04 |