NPI | 1063924090 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON DOW COO 602-466-3223 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5255) |
Enumeration Date | 2017-10-31 |
Last Update Date | 2017-10-31 |