| NPI | 1114197969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY R MEADE CEO 602-441-4690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH2333) |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |