NPI | 1063886075 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA HORNBACK Owner/Administrative Officer 623-418-6657 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4687) |
Enumeration Date | 2015-11-16 |
Last Update Date | 2015-11-16 |