NPI | 1568850329 |
---|---|
Doing Business As | GILA RIVER HEALTH CARE SMI GROUP HOME |
Entity Type | Organization |
Authorized Contact | STEVE H WILLIS Interim Director 602-528-1200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2015-01-02 |
Last Update Date | 2015-01-02 |