| NPI | 1790955904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES CAWLEY Comptroller 602-234-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-716) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-14 |