| NPI | 1023709912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREMEAL RAY MANLEY Chief Executive Officer 480-932-1804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2024-05-28 |