| NPI | 1487017885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL W CARLTON Medical Director 480-991-9329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ OTC7619) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2016-04-01 |