| NPI | 1184150484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELLIE GALIT Licensee 480-894-2902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities (Licence: AZ AL7288H) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |