| NPI | 1770134488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASERE DAVID MWARA Owner 480-685-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |