| NPI | 1538800289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE HARDY Manager 480-232-2516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2022-04-06 |