| 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 |