| NPI | 1881283414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GLADE MAUGHAN Adminstrator 602-292-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2022-09-15 |