| NPI | 1588980742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE PIOSKE Executive Director 602-274-0730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH-866) |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2024-10-02 |