| NPI | 1770681926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH O. WALKER Chief Executive Officer 520-664-5192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH2456) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |