| NPI | 1174143846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC GLADE MAUGHAN Administrator 602-292-2010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-04-22 |
| Last Update Date | 2024-01-16 |