| NPI | 1265057962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSON NATHAN Administrator 480-430-5491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251B00000X Case Management |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-29 |