| NPI | 1053702563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA M AYIYI Administrator 623-312-3485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH4513) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |