| NPI | 1639901028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYREE HART CEO 480-677-5610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2024-08-15 |
| Last Update Date | 2024-08-15 |