NPI | 1912393000 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES CUNNINGHAM Owner 480-443-0455 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: UT 11336) |
Enumeration Date | 2015-04-15 |
Last Update Date | 2015-04-15 |