| NPI | 1871668871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISH COCOROS Associate Director 602-256-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-311) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-08-22 |