| NPI | 1275801839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D MESSER Owner 480-332-4281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH3981) |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2011-12-09 |