| NPI | 1144963802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEVLEIN METOYER Administrator 480-498-0422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2022-04-19 |