| NPI | 1538346275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE WIESE Chief Financial Officer 520-870-6618 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BHH2327) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |