| NPI | 1417413949 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA J MEDRANO Executive Director 602-441-0956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 177F00000X Lodging |
| Additional Taxonomies | 251B00000X Case Management |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2019-02-20 |
| Last Update Date | 2019-02-20 |