| NPI | 1518660612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEASHA HENRY CEO 480-931-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2023-03-27 |