| NPI | 1649410705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM VP/COO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 291U00000X Clinical Medical Laboratory | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2009-06-15 |