| NPI | 1518199819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA ANN DAWSON Program Director 602-359-1643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |