| NPI | 1962818187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAFFIATU S TUNIS Program Director 480-217-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4469) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4907) |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2021-08-16 |