| NPI | 1912570102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E LANE Chariman Of The Board 602-435-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-08-17 |