NPI | 1164069167 |
---|---|
Doing Business As | FOUNTAIN HOME |
Doing Business As | SAWYER HOUSE |
Entity Type | Organization |
Authorized Contact | KAYLA CHRISTINE SOL Administrator 480-232-8600 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2019-12-09 |
Last Update Date | 2020-05-05 |