NPI | 1982894036 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA TILLMAN President 928-445-3834 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: AZ BH3230) |
Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: AZ BH3230) |
261QR0800X Clinic/Center, Recovery Care (Licence: AZ BH2563) | |
Enumeration Date | 2007-07-25 |
Last Update Date | 2017-02-09 |