| NPI | 1013558311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIE GONZALEZ PADILLA Chief Executive Officer 623-518-9552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |