| NPI | 1952856197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT BEUKEMA Director / Manager 602-313-6221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH4838) |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2016-08-17 |