| NPI | 1467220707 |
|---|---|
| Doing Business As | PHOENIX DREAM CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL LOPER Contracts Administrator 602-740-4660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-12-15 |
| Last Update Date | 2023-12-15 |