| NPI | 1851177026 |
|---|---|
| Doing Business As | LCBH SPRINGERVILLE OP ADOLESCENT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM President/CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |