| NPI | 1447795992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISA DENEKE Administrator 623-670-0039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5029) |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2017-04-05 |