| NPI | 1609528314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMETRIS E KING Owner/Administrator 480-352-5490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2022-01-24 |