| NPI | 1437554359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA D SAULPAW Authorized Official 602-898-7254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2024-11-20 |