| NPI | 1710378518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY BLOOM Chief Operating Officer 480-443-7331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2015-02-19 |