| NPI | 1821365818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARTLYNE ALEXIS Registered Nurse 602-539-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2011-11-19 |