| NPI | 1073319968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS TORRES Administrator 602-410-3606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-21 |