| NPI | 1336882505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC PAIGE Chief Administrative Officer 480-395-0233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2022-04-15 |
| Last Update Date | 2022-04-15 |