| NPI | 1497833644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MERCHANT CEO President 480-892-7403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH1130) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: AZ BH1130) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2010-11-24 |