| NPI | 1881022622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIGITTE U GENO Administor 602-419-1332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-4392) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2013-10-14 |