| NPI | 1447601448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATOYA J. LEE CEO/Administrator 602-686-0419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4867) |
| Enumeration Date | 2016-06-30 |
| Last Update Date | 2016-07-14 |