| NPI | 1255504445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIE PADILLA CONTRERAS Chief Executive Officer 623-594-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-3045) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2008-04-08 |