| NPI | 1013117613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KETURAH ANN MATTOX Executive Director/CEO 623-308-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH2597) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2007-07-20 |