NPI | 1861083859 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN EARL LONG Owner/Adminstrator 602-427-8959 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2021-02-01 |
Last Update Date | 2021-08-10 |