| NPI | 1275353740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFFIATU S TUNIS Program Director 480-217-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |