| NPI | 1184712143 |
|---|---|
| Other Name | KATILIN RANCH |
| Entity Type | Organization |
| Authorized Contact | NADINE RAMIREZ Deputy Director 928-777-3280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH-3337) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-3337) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-04-12 |