NPI | 1043483704 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRI MCKINNEY Owner/Director 623-474-6326 |
Organization Subpart ? | No |
Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children (Licence: AZ BH-2891) |
Enumeration Date | 2008-04-02 |
Last Update Date | 2008-06-26 |