| NPI | 1427564335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA TOWNSEND VP Of Revenue Cycle 470-440-1647 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: AZ BH-1594) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH-1594) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |