| NPI | 1932609948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELICA MENDOZA Administrator 480-634-4446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |