| NPI | 1699946533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE W. GREEN Clinical Director 602-424-1838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-2372) |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2009-12-28 |