| NPI | 1255618815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WILLIAMS A/R Spec 520-721-1887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3962) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2011-11-10 |