| NPI | 1154634392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN LEDUC Operations Director 623-374-7774 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2010-07-16 |