| NPI | 1104008366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE KAY EDWARDS Owner 480-202-2972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-2998) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2007-11-29 |