| 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 |