| NPI | 1265179923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANALIZA DE PEDRO Administrator 602-358-9175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2022-05-16 |