| NPI | 1831740547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SADE COLLINS Director 623-213-5356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-09-24 |
| Last Update Date | 2019-09-24 |