| NPI | 1689286536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDDIA GETAWERU Executive Director 480-773-8480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| 323P00000X Psychiatric Residential Treatment Facility | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2020-08-21 |