NPI | 1811483878 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM BESCH Administrator 480-371-0180 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ ifbh9001) |
276400000X Rehabilitation, Substance Use Disorder Unit | |
Enumeration Date | 2018-07-02 |
Last Update Date | 2024-10-25 |