NPI | 1033497276 |
---|---|
Doing Business As | ARIVACA BOYS RANCH |
Entity Type | Organization |
Authorized Contact | RONALD P SEARLE Owner 480-216-8982 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: AZ BH-3035) |
Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: AZ BH-3035) |
Enumeration Date | 2011-07-21 |
Last Update Date | 2018-06-20 |