| NPI | 1255604864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDRA DAYANA GARCIA CHAVEZ Administrative Services Manager 602-285-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH3982) |
| Enumeration Date | 2012-02-13 |
| Last Update Date | 2025-06-11 |