| NPI | 1730433137 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISELIA PRATS Director 602-348-2115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4111) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |