| NPI | 1720233182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ASHU Assistant Administrator 480-329-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH3133) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-11-25 |