| NPI | 1033625926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERRE LEWIS President 480-268-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH5303) |
| Enumeration Date | 2017-12-14 |
| Last Update Date | 2017-12-14 |