| NPI | 1447315544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ASHU Assistant Administrator 480-830-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH2325) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |