| NPI | 1750542965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SINGLETON Administrator 602-441-2691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH - 3050) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |