| NPI | 1700309879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HOUSE Program Coordinator 602-266-8400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2023-12-27 |