| NPI | 1083966022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL TEMPLE Chief Operating Officer 602-509-5248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-4100) |
| Enumeration Date | 2012-10-14 |
| Last Update Date | 2012-10-14 |