| NPI | 1891382446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELINE NNEDIUTO NNATAH Administrator 602-228-4834 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-02-06 |