NPI | 1780740449 |
---|---|
Other Name | AGL - PECK |
Entity Type | Organization |
Authorized Contact | ANNETTE INIGUEZ Exec Asst 602-285-0505 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH1183) |
Enumeration Date | 2006-12-28 |
Last Update Date | 2020-08-22 |