| NPI | 1053138974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARANDA FIGULI Credentialing Manager 480-987-2080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2024-09-23 |