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 |