| NPI | 1285060111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANOVA DEAR Program Coordinator 480-343-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH-4296) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2013-09-24 |