NPI | 1013065416 |
---|---|
Other Name | PIMA HOUSE |
Entity Type | Organization |
Authorized Contact | RICHARD ECK CEO 520-514-9888 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-1575) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |