| 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 |