| NPI | 1770399628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZARIA RAINEY Owner 602-620-4132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2025-09-22 |