| NPI | 1881001832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSE KAMGAING Administrator 480-634-4974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4478) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |