| NPI | 1316667561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ION SIMION Owner 602-791-4499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2022-08-29 |