| NPI | 1154633915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN KAYE SIMMONS Director 623-930-9561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3592) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-09 |