| NPI | 1205196409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETA SCHNEIDER Ahcccs Billing COO Rdinator 602-277-5006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |