NPI | 1487295671 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT C BREEDLOVE CEO 480-590-6558 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2019-09-30 |
Last Update Date | 2019-09-30 |