| NPI | 1598647430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEYENNE ACKMAN Administrator 623-246-9835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2025-07-22 |
| Last Update Date | 2025-07-22 |