| NPI | 1083115364 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY RAZO Executive Director 928-777-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3195) |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2018-02-22 |