| NPI | 1407040553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE RUST Executive Director 520-546-3200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH 4518) |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2015-04-16 |