| NPI | 1861088833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CAMPBELL Therapist 480-490-7462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2020-12-14 |
| Last Update Date | 2020-12-14 |