| NPI | 1104466697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANOVA DEAR Administrator 480-343-0086 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |