| NPI | 1114659596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD F CADOGAN COO 480-225-4044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-06-25 |
| Last Update Date | 2022-11-15 |