| NPI | 1295353019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CRAWFORD BREEDLOVE CEO 480-590-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2020-07-08 |