| NPI | 1093223125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIE GONZALEZ PADILLA Chief Executive Officer 602-999-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-5346) |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2019-10-18 |