| NPI | 1174300909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN LEE NORBUT Manager 480-815-6490 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2023-09-17 |