| NPI | 1205524329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVONNE BAHATI Directress 480-501-0957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-04-26 |
| Last Update Date | 2023-04-26 |