| NPI | 1780038992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON DOW Office Manager 602-466-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4849) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |