| 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 Community/Behavioral Health |
| 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 |