| NPI | 1619759990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXIS STARKS ADAMS Owner 480-669-7660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 177F00000X Lodging | |
| 320700000X Residential Treatment Facility, Physical Disabilities | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 251B00000X Case Management | |
| 251K00000X Public Health or Welfare | |
| 251S00000X | |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |