| NPI | 1063566990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B. GRANADO Executive Director 480-722-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH3340) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2009-07-10 |