| NPI | 1598510869 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD ANDERSON Owner 623-341-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 177F00000X Lodging |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2024-04-20 |
| Last Update Date | 2024-04-20 |