| NPI | 1699469593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GOLDENBERG Administrator 480-912-3105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-06-05 |