| NPI | 1053120857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA WATSON Owner 480-404-4159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-01-06 |
| Last Update Date | 2025-01-06 |