| NPI | 1962914994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON DOW COO 602-466-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5256) |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |