| NPI | 1730848177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELINA SOMERA CEO/Administrator 480-636-9636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |