| NPI | 1770322190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY RODNEY Administrator/Owner 602-473-5372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |