| NPI | 1801976709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS K MCKELVEY Chief Executive Officer 602-599-5410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: BH2062) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-12-14 |