| NPI | 1013244813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN WILLIAMS Clinical Director 480-988-9929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH 3402) |
| Additional Taxonomies | 251S00000X (Licence: AZ BH 3402) |
| 261QR0800X Clinic/Center, Recovery Care (Licence: AZ BH 3402) | |
| Enumeration Date | 2009-11-16 |
| Last Update Date | 2009-11-16 |