| NPI | 1023546819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN PEARSON CEO 602-904-2439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH5142) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH5142) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2017-05-24 |