| NPI | 1609528272 |
|---|---|
| Doing Business As | THE HISTORIC BLUE ROSE RECOVERY MANSION |
| Other Name | BLUE ROSE DETOX MANSION |
| Former Legal Business Name | MIND REPOSE LLC |
| Entity Type | Organization |
| Authorized Contact | DANIEL CASE CEO 480-300-2655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 102L00000X Psychoanalyst | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TP0016X Psychologist, Prescribing (Medical) | |
| 103TP0814X Psychologist, Psychoanalysis | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TR0400X Psychologist, Rehabilitation | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-01-25 |