| NPI | 1144740572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA P PATTERSON Administrator 480-241-9963 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH5139) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2023-09-06 |