| NPI | 1649907148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MCNEAL Owner /Operator 602-718-8809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251E00000X Home Health |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2023-10-05 |