| NPI | 1467635698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CAWLEY Comptroller 602-234-3338 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-1724) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-03-14 |