| NPI | 1184154072 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMLA ALEXANDER President/Owner 520-350-4697 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: AZ BH5143) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH5143) |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2022-07-21 |