| NPI | 1710403712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE UHLEMANN Clinical Director 602-626-8112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4859) |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2022-07-21 |