| NPI | 1639941537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOHNSON C.E.O. 480-293-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-24 |