| NPI | 1164992442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON DOW COO 602-466-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-11-29 |
| Last Update Date | 2018-11-29 |