| NPI | 1770038564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LYNN BRIGHAM Executive Director 602-565-5909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: AZ BH4914) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |