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 |