| NPI | 1811598253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN O'NEAL CEO 480-388-4906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |