| NPI | 1053701342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO SAINZ Director Of Youth Service 602-535-5686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-01-26 |