| NPI | 1932515087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEKOU JACKSON Executive Director 623-478-9400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |