NPI | 1154499200 |
---|---|
Entity Type | Organization |
Authorized Contact | BRETT IAN COHEN COO 800-388-5150 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH1530) |
Enumeration Date | 2006-11-30 |
Last Update Date | 2023-05-14 |