| 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 |