| NPI | 1083087134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STERLING BRIDGES President 602-790-8487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4899) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH4899) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2016-10-12 |