| NPI | 1528474533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY D. FLANERY Counselor 520-466-8850 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ SA1695) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |