| NPI | 1083710941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN NEVIN WILLIAMS Bhj CEO 520-406-3261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BLD2151) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2020-08-22 |