| NPI | 1326640723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRRIE HAYES CFO 602-675-1686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2020-11-10 |