| NPI | 1780194563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS J LEWIS CEO 602-249-6674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH5238) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-05 |