| NPI | 1659080497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN POLLYN Owner/Manager 480-343-8450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2022-11-21 |
| Last Update Date | 2022-11-21 |