| NPI | 1417430380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMUALDO MUNOZ Program Administrator 480-699-2344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |