| NPI | 1295060788 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDETTE WALKER-SIMON Owner 602-237-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: AZ BH3417) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |