| NPI | 1902788698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN FLORES Owner 602-695-5019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-07-23 |
| Last Update Date | 2026-08-20 |