| NPI | 1366988933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN SOYARS Director 602-216-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5001) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2017-01-06 |