| NPI | 1255725248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH AGBOOLA Administrator 480-589-6692 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4520) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2023-07-10 |