| 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 | 2025-10-21 |