| NPI | 1184947459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAIDA ALI Owner 480-703-6244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-3524) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2010-03-01 |