| NPI | 1194303099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA E CASTRO CEO 602-448-9216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2021-07-14 |