| NPI | 1407067457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEWEL OWENS CEO 480-945-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH-829) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |