| NPI | 1558141275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIANA CRISTINA LASLO Partner 602-904-9624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-12-08 |