| NPI | 1922466853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIANCA GILMORE Owner/ Manager 480-677-9776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ AL8946H) |
| Enumeration Date | 2016-02-06 |
| Last Update Date | 2016-02-06 |