| 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 |