| NPI | 1770805012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY RACHELLE MEADE CEO 602-441-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH3538) |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2010-02-26 |