| NPI | 1801502471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA STANFORD Director 602-570-5633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-01-26 |