| NPI | 1811043524 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ASHU Assistant Administrator 602-561-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH2683) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2020-08-22 |