| NPI | 1730778945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMISIA JONES Owner 623-326-0617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-01-12 |