| NPI | 1861068025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN BERRY Administrator 480-631-4783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-05-28 |