| NPI | 1831603786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA ABDALLAH Executive Director 602-460-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5290) |
| Enumeration Date | 2017-11-29 |
| Last Update Date | 2017-11-29 |