| NPI | 1770835852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA DATINGALING CEO/President 602-277-8721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH4046) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2021-06-23 |