NPI | 1376550343 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF JORDE President / CEO 602-285-4285 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-2104) |
Enumeration Date | 2006-08-02 |
Last Update Date | 2020-08-22 |