| NPI | 1710617196 |
|---|---|
| Doing Business As | BRAVO RECOVERY HOME |
| Entity Type | Organization |
| Authorized Contact | NASSON NATHAN Administrator 480-430-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2022-06-16 |