NPI | 1255983037 |
---|---|
Entity Type | Organization |
Authorized Contact | LANE MARTIN-BARKER Executive Director 602-283-1573 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2019-07-12 |
Last Update Date | 2019-07-12 |