| NPI | 1659560803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE WHISLER V.P. Of Compliance 928-684-4029 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ IFBH6963) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2015-12-08 |