| NPI | 1447979596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY WESTERMAN COO 480-714-1293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2023-10-13 |