| NPI | 1679800106 |
|---|---|
| Doing Business As | SAGE HOUSE |
| Entity Type | Organization |
| Authorized Contact | TRACY STEVENS Area Director 928-763-1945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: AZ BH-3423) |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2009-11-04 |