| NPI | 1710348362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY Y. SHEPHERD Administrator 623-986-3987 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4796) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-04-20 |