| NPI | 1033564042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANDIS MAEZ Managing Director 480-399-8735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 320700000X Residential Treatment Facility, Physical Disabilities |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2016-04-27 |