| NPI | 1306585088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL JOSEPH LAVI Mananger 602-875-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2023-03-09 |