NPI | 1972829034 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL TEMPLE CEO 602-509-5248 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH-3555) |
Enumeration Date | 2010-04-14 |
Last Update Date | 2014-05-12 |