| NPI | 1992137715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT LUCHINI Account Manager 928-533-4220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: CA 300234AN) |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2013-08-02 |