| NPI | 1457998759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA SUE SUNDEM Executive Director 480-628-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-02-13 |