NPI | 1457746497 |
---|---|
Doing Business As | DODGE DETOXIFICATION CENTER |
Entity Type | Organization |
Authorized Contact | STEPHANIE OLIVER Chief Quality Management Officer 520-628-3400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: AZ IFBH7082) |
Enumeration Date | 2015-04-06 |
Last Update Date | 2015-08-13 |