| NPI | 1598124075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KIVILA Owner/CEO 480-634-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4822) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |