| NPI | 1376058065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA UBIEBOR Administrator 602-802-9655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH301) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2021-08-28 |