| NPI | 1922350404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M BUSH Owner/Manager 623-670-2582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ 617136) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |