NPI | 1154401156 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS K MCKELVEY Chief Executive Officer 602-599-5410 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH2406) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2016-12-14 |