| NPI | 1821379793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ASHU Assistant Administrator 602-561-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH3840) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |