NPI | 1164070322 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERTA ABDALLAH CEO 602-460-1449 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2019-08-30 |
Last Update Date | 2019-08-30 |