| NPI | 1154781037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO SANTANA Administrator 602-636-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4802) |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |