| NPI | 1578184743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMEKA FLOWERS Administrator 602-677-0620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |