| NPI | 1669276093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TICA MASON Director 480-862-3643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |