| NPI | 1659022234 |
|---|---|
| Other Name | COTTON FIELD |
| Entity Type | Organization |
| Authorized Contact | BRANDON WARD Administrator 602-705-8051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-20 |