| NPI | 1194976068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOISE JOSEPH Psychiatrist 602-321-1437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ 33517) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |