| NPI | 1497420202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK HOLLEMAN Member 480-438-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-08-13 |
| Last Update Date | 2025-01-30 |