| NPI | 1043634769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORNELIUS TANYI Program Director 480-264-2647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-02-17 |
| Last Update Date | 2014-02-17 |