| NPI | 1912559881 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ROBERTA ABDALLAH CEO 602-460-1449  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness | 
| Enumeration Date | 2019-07-11 | 
| Last Update Date | 2019-07-11 |