| NPI | 1730544214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY GERBERRY Clinical Director 602-509-0293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2015-12-28 |