| NPI | 1942743711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA HORNBACK Owner/Administrative Officer 623-418-6657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4687) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-30 |