| NPI | 1023119955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY WELLS COO 520-838-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH-1520) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-08-22 |