| NPI | 1952077158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE GOODALL CEO 623-800-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2021-08-18 |
| Last Update Date | 2021-08-18 |