| NPI | 1356066237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY NGALLE CEO 480-687-5301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2022-10-04 |
| Last Update Date | 2022-11-07 |