| NPI | 1396329157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENT JOHNSTON Executive Director 480-660-5775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2024-12-17 |