| NPI | 1255940649 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VILMA ABARCA Credentialing Admin. 480-784-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |