NPI | 1679246466 |
---|---|
Doing Business As | HOPE AZ III |
Entity Type | Organization |
Authorized Contact | ELONDA W WILSON COO 860-690-5309 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-07-28 |
Last Update Date | 2023-12-04 |