| NPI | 1265906168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL MORALES CEO 480-289-0851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2020-02-02 |