| NPI | 1396177614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMUALDO MUNOZ Owner 480-332-9276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4215) |
| Enumeration Date | 2013-08-09 |
| Last Update Date | 2013-08-09 |