| NPI | 1740638279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ABDALLAH Director 602-460-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4897) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |