| NPI | 1154766624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYAM LATEEF Director 602-403-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2013-05-09 |