| NPI | 1346555182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM M URWILER Director Of Operations 480-440-2090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3675) |
| Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ bh3675) |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |