| NPI | 1255547444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS K MCKELVEY Chief Executive Officer 602-599-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4220) |
| Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: AZ BH2881) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2016-12-14 |