| NPI | 1619342201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY D. MESSER Owner 480-840-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4766) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2017-12-18 |