| NPI | 1205070786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY EDWARDS Executive Director 928-567-1322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2014-01-21 |