| NPI | 1235510231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ABDALLAH Director 602-460-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4640) |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-06-15 |