| NPI | 1649755893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURTON TIMOTHY CARRIKER Executive Director / Board Member 623-522-4525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2020-04-14 |