| NPI | 1285245407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PADILLA Administrator 480-760-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2020-08-11 |
| Last Update Date | 2021-02-16 |