| NPI | 1619505054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GOVAN Clinical Director, Bhp 623-628-7026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2020-04-04 |