| NPI | 1184580995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG IDOLOR Director 480-349-8437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2025-12-25 |
| Last Update Date | 2025-12-25 |