| NPI | 1285347575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKLIN FONUTCHI Administrator 480-212-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2023-01-02 |