| NPI | 1558936963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY GATAWA Administrator 480-830-6698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |