| NPI | 1881440675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY JOHNSON Owner 480-934-3033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 177F00000X Lodging |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2024-04-24 |