| NPI | 1225192107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLIE HOLLIDAY COO 480-983-0065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-046) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2021-11-18 |