| NPI | 1144541293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELYN NAOH-MENE Program Director 602-486-3019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH3586) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-06-11 |