| NPI | 1831669258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CEDRA DENISE JOHNSON Manager 602-473-5151 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2018-11-28 |