| NPI | 1528504826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA QUIROZ Regional Director 602-216-0518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ bh5016) |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2025-09-25 |