| NPI | 1275462251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA PIERCE Manager 602-828-5038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2026-05-15 |
| Last Update Date | 2026-05-15 |