| NPI | 1255563300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS B. GRANADO Executive Director 480-722-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: AZ BH-3398) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-08-21 |