NPI | 1659135655 |
---|---|
Other Name | VANGUARD RESIDENTIAL TREATMENT 3 |
Entity Type | Organization |
Authorized Contact | LAWRENCE BRIGGS CEO 480-320-0752 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center, Adult Mental Health | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2024-02-09 |
Last Update Date | 2024-02-09 |