| NPI | 1326630328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JADE LAWIN Co Owner 480-620-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Additional Taxonomies | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
| 3104A0630X Assisted Living Facility Assisted Living, Behavioral Disturbances | |
| Enumeration Date | 2021-02-10 |
| Last Update Date | 2021-02-10 |