| NPI | 1720661788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE ODETTE GUAJARDO Administrator/Owner 480-298-2816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2021-04-28 |