| NPI | 1356902803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSTY CATANIA Manager 623-776-9189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |