| NPI | 1538433057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LILLIAN R DAVIS Owner/ Managing Dircetor 602-265-8007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |