| NPI | 1780263012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN STEPANSKI Administrative Director 602-377-7326 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-04-05 |