| NPI | 1740864891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELEN C TUWEI Administrator 480-440-2641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2021-05-05 |