| NPI | 1245780964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARD HORNE CEO 623-210-6382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: AZ BH5019) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2016-10-05 |
| Last Update Date | 2021-06-21 |