| NPI | 1669806311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY TRUVILLION Owner 602-290-3656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-4213) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2015-09-17 |