| NPI | 1134276082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A AYIYI CEO 602-301-0214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: AZ B2361 B2362) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |