NPI | 1083711360 |
---|---|
Other Name | CORAZON |
Entity Type | Organization |
Authorized Contact | ANDRES CONTRERAS Executive Vice President Officer 602-257-0700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-0008) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-06-23 |