NPI | 1265020176 |
---|---|
Doing Business As | JAC BEHAVIORAL HEALTH SERVICES |
Entity Type | Organization |
Authorized Contact | FIDEL DAVILA CEO 602-432-7827 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-01-06 |
Last Update Date | 2021-01-06 |