NPI | 1184136400 |
---|---|
Doing Business As | WEST VALLEY TRANSITION POINT |
Entity Type | Organization |
Authorized Contact | JOHN HOGEBOOM President/CEO 480-831-7566 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH5274) |
Enumeration Date | 2017-10-26 |
Last Update Date | 2023-01-13 |