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 |