| NPI | 1174774608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KWADWO KANTANKA Administrator/CEO 480-393-0662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-3086) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2008-10-02 |