| NPI | 1730701517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZEBEDEE T YONG Facility Operations Director 602-521-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-19 |