| NPI | 1396057600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODEL BURNES Administrator 480-270-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3645) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |