| NPI | 1528698321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA TATICH Project Manager 602-653-9877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2024-09-10 |