| NPI | 1558704809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINE SAAH MCCABE Ower 623-907-1142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4203) |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |