| NPI | 1831652601 |
|---|---|
| Doing Business As | UNHOOKED RECOVERY POWER ROAD |
| Entity Type | Organization |
| Authorized Contact | MARY GRACE LEACH CEO 602-368-8203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |