| NPI | 1265977359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SOYARS Director 602-216-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ bh5015) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |