| NPI | 1568355451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRIO M DAVIS CEO 602-705-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |