| NPI | 1649688896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ALAN BANKEN CEO/Founder 520-400-5709 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-07-31 |