| NPI | 1023205473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT SHUMPERT KINSEY CEO / Clinical D Firector 623-433-8875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ LPC 11606) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |