NPI | 1033684683 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT CRAWFORD BREEDLOVE CEO 480-840-1601 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2018-10-10 |
Last Update Date | 2018-10-10 |