| NPI | 1700528650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLA FOSTER Director Of Operations 602-421-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2022-04-11 |
| Last Update Date | 2022-04-12 |