| NPI | 1750711891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANE MARTIN-BARKER Executive Director 480-998-2920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-4810) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2016-01-20 |