| NPI | 1497473664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NADGERA K SINGH Administrator 480-577-6047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2023-01-09 |