| NPI | 1588108534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZINA GRAY Agency Administration 480-939-0826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5032) |
| Enumeration Date | 2016-12-10 |
| Last Update Date | 2016-12-10 |