| NPI | 1720177348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY WELLS COO 520-838-5501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH-2168) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2024-07-12 |