| NPI | 1871049775 |
|---|---|
| Doing Business As | DODGE CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN HOGEBOOM President/CEO 480-831-7566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: AZ BH4997) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH4997) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH4997) | |
| 343900000X Non-emergency Medical Transport (VAN) (Licence: AZ BH4997) | |
| 385H00000X Respite Care (Licence: AZ BH4997) | |
| Enumeration Date | 2016-08-30 |
| Last Update Date | 2023-01-13 |