NPI | 1912772278 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMMIE FLOWERS CEO 480-440-4246 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2023-11-16 |
Last Update Date | 2023-11-16 |