NPI | 1134634827 |
---|---|
Entity Type | Organization |
Authorized Contact | SAMUEL OWUSU-AKYEAW Administration 480-616-0133 |
Organization Subpart ? | Yes |
Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult |
Additional Taxonomies | 251S00000X |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
323P00000X Psychiatric Residential Treatment Facility | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2017-12-04 |
Last Update Date | 2024-05-20 |