| NPI | 1669289880 |
|---|---|
| Doing Business As | NIRVANA RESIDENTIAL TREATMENT |
| Entity Type | Organization |
| Authorized Contact | TAYLOR HILTON WOOD CEO 623-256-4184 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-12-11 |
| Last Update Date | 2025-07-17 |