| NPI | 1033717970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOLORES A PRECHEL Administrator 602-400-9292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |