| NPI | 1023786803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GOLDEY Executive Director 480-843-2336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 310400000X Assisted Living Facility |
| 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness | |
| 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2021-09-05 |
| Last Update Date | 2021-09-05 |