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 |