| NPI | 1376074120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW JOHN BEATY President/CEO 602-535-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |