| NPI | 1790020303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ABDALLAH CEO 602-460-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2023-09-22 |