| NPI | 1225260441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R NOYD Administrator 480-228-9510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-3032) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |