| NPI | 1285437798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NASSER-TAYLOR COO 602-318-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2026-06-16 |